Kauker M L, Barr J G
Arch Int Pharmacodyn Ther. 1981 Jan;249(1):106-15.
Clonidine is a centrally acting antihypertensive drug that also has marked renal effects. The role of renal prostaglandins in clonidine-induced diuresis was examined in anesthetized and conscious rats. Twelve surgically prepared rats were pretreated with either of two inhibitors of prostaglandin synthesis, indomethacin or meclofenamate (2 mg/kg), while thirteen rats served as controls. Clonidine (200 micrograms/kg/hr, i. v.) increased urine flow tenfold in both pretreated and nonpretreated controls whereas blood pressure and glomerular filtration rate were reduced by clonidine. Fractional excretions of sodium, potassium, total solute and water were enhanced similarly in these two groups of anesthetized rats. Experiments were also conducted in ten conscious rats pretreated with vehicle, indomethacin (2.0 and 7.5 mg/kg), or meclofenamate (2 mg/kg) prior to clonidine infusion. Marked diuresis occurred whether these rats were pretreated with vehicle or one of the nonsteroidal antiinflammatory drugs (NSAID). Thus, NSAID did not prevent the renal excretory response to clonidine in either anesthetized or conscious rats, suggesting that enhanced prostaglandin synthesis is not an essential component of the diuretic action of this drug in rats.
可乐定是一种中枢作用的抗高血压药物,也具有显著的肾脏效应。在麻醉和清醒大鼠中研究了肾前列腺素在可乐定诱导的利尿中的作用。12只手术制备的大鼠用两种前列腺素合成抑制剂之一吲哚美辛或甲氯芬那酸(2mg/kg)进行预处理,而13只大鼠作为对照。可乐定(200微克/千克/小时,静脉注射)使预处理和未预处理的对照大鼠的尿流量增加了10倍,而可乐定降低了血压和肾小球滤过率。在这两组麻醉大鼠中,钠、钾、总溶质和水的分数排泄同样增加。在输注可乐定之前,还对10只预先用载体、吲哚美辛(2.0和7.5mg/kg)或甲氯芬那酸(2mg/kg)预处理的清醒大鼠进行了实验。无论这些大鼠是用载体还是用一种非甾体抗炎药(NSAID)预处理,都会出现明显的利尿作用。因此,NSAID在麻醉或清醒大鼠中均未阻止对可乐定的肾脏排泄反应,这表明增强的前列腺素合成不是该药物在大鼠中利尿作用的必要组成部分。